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General NPI Number Information
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NPI Number | 1962261545
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Entity Type | Organization
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Legal Business Name | LOVELLA WELLLNESS LLC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 160 N CRAIG ST STE 208
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City | PITTSBURGH
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State | PA
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Zip | 15213-2717
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Country | US
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Telephone | 412-359-0102
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Fax |
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Provider Business Mailing Address
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Address Line | 5831 FORWARD AVE UNIT 254
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City | PITTSBURGH
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State | PA
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Zip | 15217-2301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | STARLENE MARIE DELP
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Credential | LPC
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Telephone | 412-359-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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